Individual
TRINA DENISE COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1845 HOLSONBACK DR, DAYTONA BEACH, FL 32117-5114
(386) 274-0500
Mailing address
2431 OMAHA DR, DELTONA, FL 32738-1884
(386) 789-1843
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH15484
FL
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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